| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,646 |
1,539 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,225 |
1,132 |
$125K |
| 92250 |
|
3,266 |
3,028 |
$110K |
| V2020 |
Frames, purchases |
1,208 |
1,035 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
736 |
621 |
$32K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
401 |
337 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,195 |
1,009 |
$19K |
| V2755 |
U-v lens, per lens |
231 |
196 |
$6K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
384 |
324 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
51 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
133 |
108 |
$2K |